Vaccination Coverage in the US Commonwealth of the Northern Mariana Islands, 2005

Luman, Elizabeth T.; Sablan, Mariana; Anaya, Gabriel; Stokley, Shannon; McCauley, Mary M.; Shaw, Kate M.; Salazar, Angela; Balajadia, Ron; Chaine, Jean Paul; Duncan, Richard

doi:10.1097/01.phh.0000296136.71799.71

Cited by 3 publications

(1 citation statement)

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“…Affiliated Pacific Island jurisdictions. Technical assistance provided by CDC based on vaccination coverage assessments aid the local programs in assessing the level of vulnerability to vaccine-preventable diseases (VPD) in their jurisdictions, evaluating their program interventions, and developing recommendations and technical support for key stakeholders [9]. …”

Section: Introductionmentioning

confidence: 99%

Timeliness of childhood vaccination in the Federated States of Micronesia

Tippins

Leidner

Meghani

et al. 2017

Vaccine

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Background: Vaccination coverage is typically measured as the proportion of individuals who have received recommended vaccine doses by the date of assessment. This approach does not provide information about receipt of vaccines by the recommended age, which is critical for ensuring optimal protection from vaccine-preventable diseases (VPDs). Objective: To assess vaccination timeliness in the Federated States of Micronesia (FSM), and the projected impact of suboptimal vaccination in the event of an outbreak. Methods: Timeliness of the 4th dose of diphtheria, tetanus, and acellular pertussis vaccine (DTaP) and 1st dose of measles, mumps, and rubella vaccine (MMR) among children 24–35 months was assessed in FSM. Both doses are defined as on time if administered from 361 through 395 days in age. Timeliness was calculated by one-way frequency analysis, and dose delays, measured in months after recommended age, were described using inverse Kaplan-Meier analysis. A time-series susceptible-exposed-infected-recov ery (TSEIR) model simulated measles outbreaks in populations with on time and late vaccination. Results: Total coverage for the 4th dose of DTaP ranged from 36.6% to 98.8%, and for the 1st dose of MMR ranged from 80.9% to 100.0% across FSM states. On time coverage for the 4th dose of DTaP ranged from 3.2% to 52.3%, and for the 1st dose of MMR ranged from 21.1% to 66.9%. Maximum and median dose delays beyond the recommended age varied by state. TSEIR models predicted 10.8–13.7% increases in measles cases during an outbreak based on these delays. Conclusions: In each of the FSM states, a substantial proportion of children received DTaP and MMR doses outside the recommended timeframe. Children who receive vaccinations later than recommended remain susceptible to VPDs during the period they remain unvaccinated, which may have a substantial impact on health systems during an outbreak. Immunization programs should consider vaccination timeliness in addition to coverage as a measure of susceptibility to VPDs in young children.

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Section: Introductionmentioning

confidence: 99%